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Individual
DEEPTHI THOTAKURA
Active
Individual
DEEPTHI THOTAKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10054296
TX
207RH0003X
Hematology & Oncology Physician
Primary
R7616
TX
207RX0202X
Medical Oncology Physician
R7616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10054296
PIT
TX
Enumeration date
06/22/2015
Last updated
06/03/2022
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